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General NPI Number Information
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NPI Number | 1164795126
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Entity Type | Organization
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Legal Business Name | DR. DANIEL A. DISCHIAVO, CHIROPRACTOR, P.C.
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 4299 MIDDLE SETTLEMENT RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-5329
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Country | US
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Telephone | 315-732-2200
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Fax | 315-732-2313
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Provider Business Mailing Address
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Address Line | 4299 MIDDLE SETTLEMENT RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-5329
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Country | US
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Telephone | 315-732-2200
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Fax | 315-732-2313
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL ARTHUR DISCHIAVO
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Credential | D.C.
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Telephone | 315-732-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X05947
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License Number State | NY
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